Individual
MONTGOMERY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
(979) 207-2161
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R099213
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
0024195693
VA
367500000X
Certified Registered Nurse Anesthetist
1031057
AR
367500000X
Certified Registered Nurse Anesthetist
1031057
TX
Other
Enumeration date
12/23/2020
Last updated
02/20/2026
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